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DR. JOHN COURTENAY MACILWAINE M.D.
NPI 1962496802
Orthopaedic Surgery - Hand Surgery in Charleston, SC

Active since September 07, 2005PECOS EnrolledAccepts Medicare Assignment
125 DOUGHTY ST, SUITE 280, CHARLESTON, SC 29403(843) 769-9450(843) 769-9450 Get Directions Write a Review

NPPES record last updated: August 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Courtenay Macilwaine M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN COURTENAY MACILWAINE M.D. (NPI 1962496802) is an individual hand surgery provider in Charleston, South Carolina, licensed in South Carolina (29539) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Bon Secours-st Francis Xavier Hospital, and is a graduate of University Of Virginia School Of Medicine (1978).

NPPES Registry Identity

NPI1962496802
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. JOHN COURTENAY MACILWAINECredential: M.D.
Location Address125 DOUGHTY ST, SUITE 280Charleston, SC 29403-5736
Mailing Address125 Doughty St, Suite 280Charleston, SC 29403-5736 · (843) 769-9450 · Fax (843) 769-9450
Phone(843) 769-9450
Fax(843) 769-9450
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1978
Enumeration DateSeptember 7, 2005
Last NPPES UpdateAugust 17, 2013
✔ NPI 1962496802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License✔ Licensed in SC · 29539
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 0101036674 (VA)
125 DOUGHTY ST, Charleston, SC 29403
Open in Google Maps ↗

Other Identifiers 3

Medicaid295399SC
Medicare PINB078129223SC
OtherP00946935SC · Railroad Medicare Id- Rsfpn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Courtenay Macilwaine M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698873792
PECOS Enrollment IDI20070613000762
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
105 services55 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
56 services56 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
28 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services14 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
14 services13 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420065
Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County
Emergency services Birthing friendly

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420110
Location300 Callen BlvdSummerville, SC 29486 · Dorchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier20 claims20 services$45.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ELEANOR CODY RN
Registered Nurse
125 DOUGHTY ST
CHARLESTON, SC 29403
Charleston County (843) 402-1815
CATHERINE K ELLYN MD
Anesthesiology
125 DOUGHTY ST, STE 420
CHARLESTON, SC 29403
Charleston County (843) 723-3441
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
125 DOUGHTY ST, STE 680
CHARLESTON, SC 29403
Charleston County (843) 789-1850
CHARLESTON PULMONARY ASSOCIATES PA
Internal Medicine (Pulmonary Disease)
125 DOUGHTY ST, SUITE 200
CHARLESTON, SC 29403
Charleston County (843) 577-6791
JONATHAN W KIRSHTEIN MD
Anesthesiology
125 DOUGHTY ST, STE 420
CHARLESTON, SC 29403
Charleston County (843) 723-3441
CHARLES S HILL MD
Anesthesiology
125 DOUGHTY ST, STE 420
CHARLESTON, SC 29403
Charleston County (843) 723-3441
BRIAN CRAIG MD
Anesthesiology
125 DOUGHTY ST, STE 420
CHARLESTON, SC 29403
Charleston County (843) 723-3441
JOHN DOUGLAS MCDONALD MD
Anesthesiology
125 DOUGHTY ST, STE 420
CHARLESTON, SC 29403
Charleston County (843) 723-3441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Macilwaine's NPI number?

The NPI number for John Macilwaine is 1962496802. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is John Macilwaine located?

John Macilwaine practices at 125 Doughty St Suite 280, Charleston, SC 29403. The listed phone number is (843) 769-9450.

What is John Macilwaine's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is John Macilwaine enrolled in Medicare?

Yes. John Macilwaine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Macilwaine accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and Molina Healthcare list John Macilwaine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Macilwaine affiliated with any hospitals?

According to CMS data, John Macilwaine is affiliated with Bon Secours-St Francis Xavier Hospital and Roper St Francis Hospital-Berkeley Inc.

When was this NPI record last updated?

The NPPES record for John Macilwaine was last updated on August 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.